| Organization Name: | GRABILL'S BODY SHOP, LLC |
| NPI Number: | 1467789388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN RICHARD GRABILL (OWNER/DIRECTOR) |
| Mailing Address: | 787 Fairlane Dr Vanceburg |
| State: | KY US |
| Postal Code: | 411798975 |
| Phone Number: | 7403520219 |
| Fax Number: | 7402593321 |
| NPI Enumeration Date: | 11/13/2009 |
| NPI Last Update Date: | 11/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT003827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |